Hybrid endovascular aortic arch repair using branched endoprosthesis: The second- generation “branched” open stent-grafting technique Kazuo Shimamura,

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Presentation transcript:

Hybrid endovascular aortic arch repair using branched endoprosthesis: The second- generation “branched” open stent-grafting technique Kazuo Shimamura, MD, Toru Kuratani, MD, PhD, Goro Matsumiya, MD, PhD, Yukitoshi Shirakawa, MD, PhD, Mugiho Takeuchi, MD, Hiroshi Takano, MD, PhD, Yoshiki Sawa, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 1, Pages 46-53 (July 2009) DOI: 10.1016/j.jtcvs.2009.03.025 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Whole image of the branched endoprosthesis, made up of a main body and cervical branches. B, The cervical branch is composed of a balloon-expandable stent. C, Stented portion of the main body. It is composed of self-expandable Z stent. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 46-53DOI: (10.1016/j.jtcvs.2009.03.025) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Delivery system. A, The stented portion of the main body is restrained with a silk string. B, The cervical branch is mounted on a balloon catheter. C, Whole image of the delivery system. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 46-53DOI: (10.1016/j.jtcvs.2009.03.025) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Distal arch repair with branched open stent-grafting technique. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 46-53DOI: (10.1016/j.jtcvs.2009.03.025) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Total arch repair with branched open stent-grafting technique. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 46-53DOI: (10.1016/j.jtcvs.2009.03.025) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Freedom from endoleaks. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 46-53DOI: (10.1016/j.jtcvs.2009.03.025) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions